Cancer staging and grading

This is exactly what the doctor says. I'm unsure how to write it out. Any help would be appreciated. This patient is known to have metastatic colon cancer. He was first diagnosed in 2006 and was originally PT4 PN2 NXG2 R1 and received chemotherapy and radiation therapy but had recurrent disease. PT4 PN2 NXG2 R1 is what I need help with. ...

I have a doctor dictating a cancer stage for colon cancer, this is what she dictated. I am sure this is not typed right. Could someone help me out with this? Stage IIc PT4 BPN0PMX. ...

Oropharyngeal carcinoma. Stage 4A? Thanks for any help. ...

Dr. says: Endometrial adenocarcinoma, stage 3c2 grade 2, currently undergoing chemotherapy. Is that written right? ...

I think I'm mainly concerned about the plain " (i) behind the T2 ?? ...

Does anyone know the correct way to transcribe breast cancer staging when dictated as follows: pT2 "sentinel node 0" MX. I am not sure how to transcribe the dictated "sentinel node 0." Thanks for your help. ...

Sounds like N more than M. ...

Cancer staging. Stage IV A, Stage IVA, or Stage 4A? ...

In a cancer report, the doctor gave a diagnosis of Stage IIIC T4aN2M0 cancer. Then she later said, He was staged as a pathological T4aN2a. She added the a and dropped the M0. I listened very carefully for the diagnosis and later in the problem list. She does not add the a after the N2 in either place. Does anyone know why it is N2a in one place but just N2 in the DX? ...

Is everyone graded using the same QA scoring system? Where do they get this ?? ...

It's simply unfair that MQ pays me the same same whether I do a normally dictated report, or one that is handicapped. Handicapped reports obviously take much more time to finish. Here's my new grading system for leaving markers. It's how I'm going to grade the documents that are necessary to include blanks in case they are thrown back at me for any reason. It gives me ammunition to fight back. Each subject gets a point (which to me ...

Are there no B's given on this? I have checked it each day since I started (which was just a few days ago). I either have A's or C's (with a percentage of 97 or 98%). Today I typed 27 reports and got 100% accuracy on 25 of those and 2 that had C's but my overall grade was a C!!! What am I missing. Since I am technically still on 90 day "probation" it worries me. I am typing well over the line count required and have made no "major" mistakes ...

I'm fairly new at Nuance. I check my work each day. I'm confused on their grading scale - there will be an A with a C below. Please explain. ...

Grade Ia Lachman. How should that be written? (The I-a part) Thank you ...

Does anyone understand why they take off an entire point for a lab value that is 1 point off? Such as a glucose level of 230 and is transcribed 231? This doesn't effect patient safety or treatment. I can understand a discrepency that is a significant difference or would change treatment. This is a minimal error and should be graded accordingly. ...

I've got a plastic surgery dictation. Doc is talking about a breast capsule. He says it was quite thin being of a grade 1 or grade 2 level. Just wondering if anyone knows if grade 1 should be a roman numeral or arabic numeral. ...

Is it Furhman or Fuhrman nuclear grading? I find both. Doctor is spelling "Furhman". ...

Hey guys..have a question. This quarter is over this week and with the new grading system they have implemented for post-audits my QA score is quite bad at about 96% to 97%. I have never had a low score like this ever in my career and have always been between 98.5% to 99%. Have any of you experienced a low final score for a quarter before and if you have what happened to you? Did they have QA work with you or was it like instant termination. This new grading system is so very stressful :( ...

how do I correctly write prostate cancer stages? ...

Help would be greatly appreciated because I can't locate it anywhere and have not in the last 3 years of doing Ortho had a doctor dictate this way...which I have transcribed verbatim. " Mr. X is a 33-year-old male, with a history of Chrohn’s disease, who has a history of increasing left hip pain. X-rays, MRI, and plain films are consistent with a collapsed femoral head (stage IV B2). " ...

Doc dictates "The patient has a history of chronic kidney disease (stage 4 to stage 5) ?!?! is that how it is transcribed per the BOS II ... I just moved and cannot locate my book for verification. ...

Gleason score 4 + 5 = 9 involving 35% of the specimen, 1 out of 1 cores contained cancer, linx of cancer was 0.35 cm. She says the linked or linx twice in the document. ?? ...

History of a stage IA, T1bN0M0 "B zero" cutaneous B-cell lymphoma follicle type. Doc says twice, so not a mistake. I guess it might be related to B symptoms...but can't document it. ...

Is there anything similar to a "whip/Whipp/Wipp shave for cancer? Thanks in advance. ...

Pulmonary evaluation of the same was done with CT imaging which was performed on 01/07/2010. Findings were significant for a right upper lobe opacity with mild FTG uptake with a (sounds like) "suvie" ???? im lost! ...

I am still pretty new to oncology and am really baffled by this one. Gyne/onologist: "XXX returns having last been seen in 2010. She has been followed at MD Anderson in the interim. She has had a recurrence of her disease, was treated with s/l "Electrosol" for a long period of time" I just keep thinking about the dishwasher detergent! And it is pretty clear, as well. Not finding anything close to this. Can anyone help here?? I am really baffled.&n ...

When the doctor dictates: Mr. Frippenwapper has "colon CA" .... do you use 'cancer' or 'carcinoma' for the "CA" or do you just leave it as "CA" ? ...

Cancer staging and grading - Cupcakes

Here is a link to the TNM cancer staging Website - another MT

TNM staging - ca

The prefixes should be lowercase per Book Of Style - another MT

Thanks! - Cupcakes

Pathology - ca

QA confirmed - Cupcakes

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